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1013475649
SHANESKA FREDERIQUE
COSTA MESA, CA
NPI
1013475649
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2019-03-02
Last Update Date
2020-12-22
Business Address
SHANESKA FREDERIQUE
275 BAKER ST
COSTA MESA, CA 92626-4566
Phone number: 714-361-6760
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Mailing Address
SHANESKA FREDERIQUE
275 BAKER ST
COSTA MESA, CA 92626-4566
Phone number: 714-361-6760
Copy
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